Organization
GRAPE ESCAPE
Active
Organization
GRAPE ESCAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRYSTLE PELLEY (HUMAN RESOURCE)
(440) 491-3015
Entity
Organization
Contact information
Practice address
355 N BROADWAY, GENEVA, OH 44041-1117
(440) 361-4214
Mailing address
355 N BROADWAY, GENEVA, OH 44041-1117
(440) 361-4214
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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